These days, we’re not looking in the mirror at our wrinkles and wondering how to smooth them away. We’re thinking ahead, considering how to care for our skin before fine lines form and which skincare and injectable treatments can help maintain a healthy, youthful appearance.
In this Q&A, fellowship-trained facial plastic and reconstructive surgeon Tania Hassanzadeh, MD, from Beverly Hills, answers your most pressing questions about Botox, from the best age to start treatment to its role in a proactive, comprehensive skin maintenance routine.
What is preventative Botox, and is it different from regular Botox?
From my perspective, all Botox is “preventive”. The best use of any neuromodulator or neurotoxin–including Botox, which is the most widely known brand–is to reduce muscle contraction to prevent lines or wrinkles from forming. Once they’re already there, Botox can help smooth them out. For some patients, I will recommend adjunct surgical or non-surgical procedures to maximize their results. These include laser, microneedling, and blepharoplasty surgery.
Does it actually prevent wrinkles?
Absolutely. When performed regularly, neuromodulator injections are very effective in reducing lines or wrinkles from forming. The caveat is that some of it is part of the normal aging process and can’t be entirely prevented. Also, I want my patients to know that resistance can build over time, so if you notice your treatments are becoming less effective, it is time to switch to a different brand of neurotoxin for the best results. These include Botox, Dysport, Xeomin, and Daxxify.
What age should I start?
There is no magic number! A good starting age is usually around 30 years, and I do not recommend beginning Botox injections much earlier than that. The dose can be titrated to your needs, so my patients in their late 20s or early 30s may not need as much as someone in their 50s or 60s.
Which areas do younger patients usually treat?
My younger patients usually love Botox for the “chemical” brow-lift effect, which is achieved by injecting the crow’s feet (especially the tail of the brow) and frown lines. These are the muscles that pull down your brows. Some also ask for a sprinkle in their forehead to reduce the appearance of horizontal lines, to their upper lip for a “lip flip” effect, or to their nose to improve their tip rotation. Each treatment is customized to my patient’s needs!
Will I look frozen?
You will not look frozen–unless you explicitly ask for it! The dose and brand matter here, as certain brands like Dysport and higher volumes are more likely to freeze your motion. I always prefer natural results when it comes to injectables.
Botox, Dysport, Xeomin, or Daxxify: Does it matter for a first-timer?
This is an important question! For my first-time patients, I generally recommend Botox as a starting point, but this is an open conversation with every patient. Also, I often mix-and-match my injectables, and I use different brands at different sites depending on the effect I’m looking to achieve–be it a total freeze or preserved motion.
What does it feel like, and how long do results last?
Neuromodulator injection is generally very well-tolerated and often feels like a quick pinch at worst, but I offer medical-grade numbing cream if you need it!
How much does preventative Botox cost in Beverly Hills?
Botox and other neuromodulators can be priced by unit or by site, which is based on provider preference. For “Baby Botox”, it can be more cost-effective to purchase by unit, since fewer units are needed for injection by site. This is because patients requesting baby Botox are generally younger, naive to Botox (so resistance hasn’t occurred), and generally prefer to maintain some degree of motion.
For pricing neurotoxin in general, the injector’s experience level is the most important determinant. Doctors and surgeons (such as plastic surgeons and dermatologists) have the most expertise in facial anatomy and safe injection techniques, and that skill level is taken into account when setting the price. Other factors include office location, demand, and the cost of the product to the practice.
If I start, am I stuck doing it forever?
Not at all! Neurotoxin wears off eventually, ranging 3-6 months. You will slowly regain your natural motion and may notice any pre-existing wrinkles or lines slowly reappear. However, most of my patients like how their face looks with Botox, so generally, they choose not to stop! Those who are on screen, such as actors and actresses, may take breaks while filming.
How does Botox fit with skincare, sunscreen, and lasers?
Injecting Botox is only part of a comprehensive skin maintenance regimen. The importance of sun protection and good skincare–applied daily–cannot be overstated. This will help improve your skin quality long term. Laser facial and microneedling play an important role in preserving collagen and stimulating its formation, which is the hallmark of facial rejuvenation. My patients who are diligent about their skincare regimen, sun precautions, and maintenance treatments have the best outcomes, be it with surgical or non-surgical treatments.
How do I choose an injector in Beverly Hills?
Choosing an injector is tough when there are so many options, especially in Beverly Hills! In my opinion, it’s essential to prioritize safety. Facial treatments should not be a bargain-hunting endeavor, and it is vital to look into your provider’s credentials. Those who offer Botox at very low rates may be over-diluting their medication, purchasing off-brand products from unlicensed third parties, or otherwise unqualified to inject you. I have many patients in my practice who feel more comfortable seeing a doctor or plastic surgeon specifically.
Start with a Conversation
The first step toward Botox treatment is a conversation, not a commitment. To have your questions answered, concerns alleviated, and confidence boosted, book a Botox consultation with Dr. Tania Hassanzadeh, M.D., at 436 N. Roxbury Drive, Suite 110, Beverly Hills. You’re in safe hands. Book online or by phone: (310) 362-6742.
Claim a New Patient Offer
Ready to book your consultation? For a limited time only, new patients receive $100 off their Botox treatment. Offer valid until 12/31/2026. Terms may apply – ask at consultation.
